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19031 33rd Ave W Ste 315 Lynnwood WA 98036-4731 | |
(206) 551-2857 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 19031 33rd Ave W Ste 315, Lynnwood, Washington |
Authorized Official Name and Position | Elisabeth Morgan (OWNER/LMP) |
Authorized Official Contact | 2065512857 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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19031 33rd Ave W Ste 315 Lynnwood WA 98036-4731 Ph: (206) 551-2857 | 19031 33rd Ave W Ste 315 Lynnwood WA 98036-4731 Ph: (206) 551-2857 |
NPI Number | 1427568872 |
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Provider Enumeration Date | 10/11/2017 |
Last Update Date | 10/11/2017 |
Identifier | Type | State | Issuer |
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1427568872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | MA00019206 (Washington) | Primary |
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